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Nativity differences in the relationship between handgrip strength and cognitive impairment in older Mexican Americans over 20 years of follow-up.
Ventura, Juan; Downer, Brian; Li, Chih-Ying; Snih, Soham Al.
Afiliação
  • Ventura J; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
  • Downer B; Department of Population Health and Health Disparities/School of Public and Population Health, University of Texas Medical Branch, Galveston, TX, USA.
  • Li CY; Department of Occupational Therapy/School of Health Professions, University of Texas Medical Branch, Galveston, TX, USA.
  • Snih SA; Department of Population Health and Health Disparities/School of Public and Population Health, University of Texas Medical Branch, Galveston, TX, USA; Division of Geriatrics & Palliative Medicine/Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA; Sealy Cente
Arch Gerontol Geriatr ; 107: 104903, 2023 04.
Article em En | MEDLINE | ID: mdl-36584560
PURPOSE: To examine nativity differences in the relationship between handgrip strength (HGS) and cognitive impairment among Mexican Americans aged ≥ 65 years with normal or high cognitive function at baseline over a 20-year period. METHODS: Prospective cohort study of 2,155 non-institutionalized Mexican Americans aged ≥ 65 years from the Hispanic Established Population for the Epidemiological Study of the Elderly) who scored ≥ 21 in the Mini Mental State Examination (MMSE) at baseline. Measures included socio-demographics, body mass index, medical conditions, depressive symptoms, physical function, disability, HGS quartiles (sex-adjusted), and MMSE. We used generalized estimating equation models to estimate the odds ratio (OR) and 95% Confidence Interval (CI) of cognitive impairment (MMSE < 21) as a function of HGS quartile by nativity and adjusted for covariates. RESULTS: US-born and foreign-born participants in the 4th quartile (highest) of HGS at baseline had lower odds of cognitive impairment over time compared with those in the 1st (lowest) HGS quartile (OR=0.95, 95% CI=0.90-0.99 and OR=0.93, 95% CI=0.89-0.98, respectively), after controlling for all covariates. When we analyzed HGS quartiles as time-varying, we found that US-born participants in the 3rd and 4th HGS quartile had 25% and 30% lower odds of cognitive impairment, respectively, while foreign-born participants in the 3rd and 4th HGS quartile had 27% and 49% lower odds of cognitive impairment over time, respectively, after controlling for all covariates. CONCLUSION: Foreign-born older Mexican Americans who performed high in HGS experienced 7% lower odds of cognitive impairment over time compared with US-born older Mexican Americans.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Americanos Mexicanos / Disfunção Cognitiva Tipo de estudo: Observational_studies / Prognostic_studies Limite: Aged / Humans País/Região como assunto: Mexico Idioma: En Revista: Arch Gerontol Geriatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Americanos Mexicanos / Disfunção Cognitiva Tipo de estudo: Observational_studies / Prognostic_studies Limite: Aged / Humans País/Região como assunto: Mexico Idioma: En Revista: Arch Gerontol Geriatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Holanda